Individual
DR. DANIEL LUCAS LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2598 S LEWIS WAY # 3C, LAKEWOOD, CO 80227-2292
(303) 987-9109
(303) 987-9123
Mailing address
2598 S LEWIS WAY # 3C, LAKEWOOD, CO 80227-2292
(303) 987-9109
(303) 987-9123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10287
CO
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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